| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,238.72 | $5,011.87 | $10,232.93 | |
Anthem BCBS
| Facility | $8,912.51 | $14,454.40 | $20,892.96 | |
Hometown Health
| Professional | $45.71 | $5,011.87 | $7,244.36 | |
United
| Facility | $1,071.52 | $2,570.40 | $6,606.93 |